Pediatric Pulmonary & Critical Care, PC
NPI #1225169196 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1225169196
- Entity Type
- Organization
- Organization Name
- Pediatric Pulmonary & Critical Care, PC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Mar 9, 2007
- Last Updated
- Mar 6, 2012
Practice Location
- Address
- 7910 WEST JEFFERSON BLVD.
- Address 2
- STE 205
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-4159
- Phone
- (260) 435-7800
Authorized Official
- Name
- CHANDRASHEKHAR CHOWDARY YALAMANCHALI, M.D.
- Title
- OWNER/PRESIDENT
- Phone
- (260) 435-7800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Pediatrics - Pediatric Critical Care Medicine — Pediatric Critical Care Medicine |
| Pediatrics - Pediatric Pulmonology — Pediatric Pulmonology |
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